Individual
HOLLY SUSAN SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
131 N TUCKER ST, MEMPHIS, TN 38104-2636
(615) 969-7696
Mailing address
2459 FAIRWAY OAKS DR, BARTLETT, TN 38134-5588
(615) 969-7696
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2830
TN
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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